Case presentation Supervised by Professor Dr. Akram F. Al-Hwaizy - PowerPoint PPT Presentation

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Case presentation Supervised by Professor Dr. Akram F. Al-Hwaizy Patient name: sajad mohammed Age: 17 years Adress : alsader city Chief complaint: when I close my mouth my teeth Dont come in contact, and I feel my lower jaw

Case presentation Supervised by Professor Dr. Akram F. Al-Hwaizy
• Patient name: sajad mohammed • Age: 17 years • Adress : alsader city • Chief complaint: “when I close my mouth my teeth Don’t come in contact, and I feel my lower jaw is Projected forward. • Medical history: no history • Dental history: previous fillings and scaling Without complications
Skeletal examination • Clinically: Anteroposterior relation: • CLIII Facial profile: • concave
Skeletal examination • Clinically: Vertical proportions: Increased lower face height
Skeletal examination • Clinically: Horizontal relation: Assymetric face Deviated nose to left Deviated chin to right
Composite photographs normal right left
Dental examination • Angle classification: CLIII • Canine classification: CLIII • Incisor classification: CLIII • Over jet: -6 • Over bite: -10 • Anterior and posterior cross bite
Space analysis • Crowding • 19.1 mm 8 mm 9.6 mm 1.5 mm
Space analysis • crowding 8.4 mm
Congenitally missed third molars
Cephalometric analysis
Cephalometric analysis measurement value Normal SNA 72 78-84 SNB 78 76-82 ANB -6 2-4 MAX.P/MP 50 23-31 S-N-POG 79 80 U1/MAX.P 103 105-115 L1/MP 70 87-93
Cephalometric analysis measurement value Normal U1/L1 137 125-135 U1/N-POG 5 2-6 L1/N-POG 10 -2-2 UPPER LIP /E-line 13 2-3 Lower lip /E-line 5 1-2 Nasolabial angle 99 94-110
Problems list • Skeletal class III • Concave facial profile • Increased lower facial height • Deviated nose to left • Deviated chin to right • Anterior open bite • Anterior and posterior cross bite • Crowded upper and lower arch • Lower midline shift to the right
DIAGNOSIS AND TREATMENT PLANNING
DIAGNOSIS AND TREATMENT PLANNING • Skeletal class III with ant. Openbite and ant. And post. Crossbite • Treatment planning: • Expansion in upper arch • Exrtraction of crowded laterals • Leveling and alignment • Bimaxillary orthognathic surgery(maxillary advancement with impaction and mandibular setback)
Other treatment planning • Maxillary expansion • Maxillary advancement and impaction • Extraction of lower fours

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